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General NPI Number Information
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NPI Number | 1245281427
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Entity Type | Organization
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Legal Business Name | CUMBERLAND TRAIL FIRE DISTRICT NO 4
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 142 S MARIETTA ST
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City | ST CLAIRSVILLE
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State | OH
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Zip | 43950-1113
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Country | US
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Telephone | 740-695-5147
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Fax | 740-695-6630
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Provider Business Mailing Address
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Address Line | PO BOX 505
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City | ST CLAIRSVILLE
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State | OH
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Zip | 43950-0505
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Country | US
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Telephone | 740-695-5147
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Fax | 740-695-6630
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Authorized Official
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Title or Position | CHIEF
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Name | TIMOTHY R HALL
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Credential |
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Telephone | 740-695-5147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 020321551
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License Number State | OH
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